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Impotence is the inability for a male to get and maintain an erection for physical intercourse. It is a very scary condition. It may lead to lose of all peace and happiness by jeopardizing the sex life. In the US, almost twenty million men suffer from it at some time in their lives. We can broadly divide the reasons of impotency into two - physical and psychological. However, sometimes both reasons may be functional behind it.
The cause is purely physical in almost half of the cases of impotence. The physical reasons include diabetes, male hormone deficiencies, liver or kidney disease, prostate problems, vascular diseases etc. Excessive consumption of alcohol and drugs can lead to this problem. Some medications can also contribute to it. Many a times, medications for hypertension and those causing drowsiness are responsible for the problem. For example, an antihistamine is one such medication.
The psychological causes for impotence are wide and varied. Excessive workload, problems in relationship etc. are the most common reasons. Acute depression diminishes the sexual desire. The fear of failing to get and maintain an erection adds more to the woes. It increases the difficulties in sexual performance. The situation would get worse if the partner points out the problem to the sufferer, especially during sex.
It is not very difficult to differentiate between a physical and psychological cause of impotence. If the reasons are psychological, the sufferer will have problems in erection during sex. However, he may experience erection during sleep or awakening in the morning.
Treatment for impotence would be different in different cases depending on the type of the cause. For example, if medication is the reason, simply staying away from that medication will help. It is advisable to consult a doctor in such situations. Same way, one should stop consuming alcohol if it is the reason. If the reasons are psychological, counseling may help. One can try to devise own ways of stress reduction. Antidepressants can also help in dealing with depression.
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